414001831-6-3-2019-05-CC-GLEG-BCW37N-20190606180014

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 414001831
Report Date: 06/03/2019
Date Signed: 06/03/2019 12:20:13 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/30/2019 and conducted by Evaluator Gagandeep Singh

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20190430155520

FACILITY NAME:	LEONG, GRACE FANG		FACILITY NUMBER:	414001831
ADMINISTRATOR:	LEONG, GRACE FANG		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 522-8353
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94403
CAPACITY:	14	CENSUS: 10	DATE:	06/03/2019
		UNANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Grace Fang Leong & Jung Leong		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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Adult demonstrated inappropriate form of discipline.
Licensee is operating out of ratio.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Singh met with licensee, Grace Fang Leong, and her husband for investigation for the above allegation. Purpose of the inspection was explained. Present, there are ten children in care with licensee and her husband.

During the inspection, LPA interviewed the licensee and the children in care. LPA inspected the facility and did the record review. Through the interviews, it was found that licensee use timeout as dicipline procedure. Based on record review, licensee has 12 children enrolled in her day care. Per licensee, she never had children more than capacity. Based on the information collected today, LPA did not receive evidence to support or deny the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.
Copy of this report is reviewed and provided to the licensee. Notice of site visit is posted and shall remain posted for next 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Gagandeep Singh	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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